Individual provider · Type 1 NPI

Taylor Marika Lakusta-Wong, MD

Student in an Organized Health Care Education/Training Program · Burlington, VT

NPI number 1366185191 Active

Practice location

111 Colchester Avenue, Uvmmc, Department Of Neurology
Burlington, VT 05401

Call (802) 847-2345 Map

Mailing address

111 Colchester Ave, University Of Vermont Medical Center, Dept Of Neurology
Burlington, VT 05401

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1366185191

Taylor Marika Lakusta-Wong, MD's National Provider Identifier is 1366185191, issued on Apr 19, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Burlington, VT. The record was last updated on Aug 5, 2022.